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焦虑敏感和对不确定性的容忍度是 COVID-19 安全行为和担忧的独特且相互作用的风险因素。

Anxiety sensitivity and intolerance of uncertainty are unique and interactive risk factors for COVID-19 safety behaviors and worries.

机构信息

Department of Psychology, Ohio University, Athens, OH, USA.

Department of Psychology, University of Novi Sad, Novi Sad, Serbia.

出版信息

Cogn Behav Ther. 2022 May;51(3):217-228. doi: 10.1080/16506073.2021.1976819. Epub 2021 Oct 26.

DOI:10.1080/16506073.2021.1976819
PMID:34698606
Abstract

Intolerance of uncertainty (IU) and anxiety sensitivity (AS) predict distress during the COVID-19 pandemic. However, little is known about how AS and IU jointly predict COVID-19 worries and behaviors. Structural equation modeling was used to examine the direct and interactive effects of AS and IU as related to COVID-19 worries and behaviors in two samples of community adults recruited in April 2020 ( = 642; age = 38.50 years,  = 10.00) and May 2020 ( = 435; age = 34.92 years,  = 14.98). In sample 1, there was a significant AS by IU interaction predicting COVID-19-related catastrophizing worries, stockpiling, and cleaning behaviors such that the relationship of AS to COVID-19-related behaviors was stronger at high levels of IU. However, although AS predicted some COVID-19 related worries and behaviors, AS and IU did not interact in sample 2. Across samples, AS was directly related to financial and health worries, whereas IU was not a significant predictor after controlling for AS. These findings suggest AS consistently impacts COVID-19 worries and behaviors, particularly among individuals with high IU. Brief interventions targeting AS and IU may help people cope during the COVID-19 pandemic and reintegrate following the pandemic.

摘要

不确定性容忍度 (IU) 和焦虑敏感度 (AS) 可预测 COVID-19 大流行期间的痛苦。然而,人们对 AS 和 IU 如何共同预测 COVID-19 的担忧和行为知之甚少。结构方程模型用于检验 AS 和 IU 的直接和交互作用,这些作用与 2020 年 4 月和 5 月招募的社区成年人的两个样本中的 COVID-19 担忧和行为有关(样本 1:= 642;年龄 = 38.50 岁,= 10.00;样本 2:= 435;年龄 = 34.92 岁,= 14.98)。在样本 1 中,AS 和 IU 之间存在显著的交互作用,预测了与 COVID-19 相关的灾难化担忧、囤积和清洁行为,即 AS 与 COVID-19 相关行为的关系在 IU 水平较高时更强。然而,尽管 AS 预测了一些与 COVID-19 相关的担忧和行为,但在样本 2 中,AS 和 IU 没有相互作用。在两个样本中,AS 与财务和健康担忧直接相关,而 IU 在控制 AS 后并不是一个重要的预测因素。这些发现表明 AS 始终会影响 COVID-19 的担忧和行为,尤其是在 IU 较高的个体中。针对 AS 和 IU 的短期干预措施可能有助于人们在 COVID-19 大流行期间应对,并在大流行后重新融入社会。

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Intolerance of uncertainty, anxiety sensitivity, and health anxiety during the COVID-19 pandemic: Exploring temporal relationships using cross-lag analysis.新冠疫情期间的不确定性容忍度、焦虑敏感性和健康焦虑:使用交叉滞后分析探索时间关系。
J Anxiety Disord. 2023 Jan;93:102660. doi: 10.1016/j.janxdis.2022.102660. Epub 2022 Dec 14.
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The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic.新冠疫情期间中国孕妇的分娩恐惧患病率及其与不确定性不耐受和应对方式的关联
Front Psychiatry. 2022 Jun 27;13:935760. doi: 10.3389/fpsyt.2022.935760. eCollection 2022.